| Code | Description | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
$400K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
$316K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
$169K |
| 76818 |
|
$160K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
$137K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
$119K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
$107K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
$11K |
| 76820 |
|
$9K |